Medical Billing Forum

Coding => Coding => Topic started by: Nancyo2 on October 05, 2010, 09:17:34 AM

Title: New York State License for Ambulatory Surgical Ctr vs Office Based Surgery
Post by: Nancyo2 on October 05, 2010, 09:17:34 AM
I work for a vascular surgeon who performs outpatient surgery. We also have a Class B facility that has been accredited for approx 10 years.  Some insurance companies will not reimburse for a facility charge unless theres a state license.  We have been getting conflicted info as to how to describe our "facility", either Ambulatory Surgery Center or Office Based Surgery. We do not participate in any insurance companies and have opted out of Medicare.
Please let me know if you have any knowledge about this situation and what the requirements are to be licensed in NY state and how to best categorize our "facility".  Thank you!
Title: Re: New York State License for Ambulatory Surgical Ctr vs Office Based Surgery
Post by: oneround on October 06, 2010, 04:13:00 PM
Try reviewing the federal register definitions for ASC's also Paragraph (1) of subdivision (d) of Section 400.18 of Title 10 (Health) of the Official Compilation of Codes, Rules, and Regulations of the State of New York (NYCRR) may help further define.  You can also review

http://www.facs.org/ahp/pubs/sutton0201.pdf

To get OBSC descriptions.

For the OBSC the medical board, Department of Health and Board of Medical Examiners all have accredidation standards and should have been implemented in the beginning.